|
Agee 1992
|
Randomized Ten-center study
|
1992
|
US
|
ECTR: 65 OCTR: 82 147 hands in 122 patients
|
UN
|
UN
|
Agee’s one-portal procedure Regional block or general anesthesia
|
1, 2, 3, 6, 9, 13, 26
|
Grip strength, pinch strength, Semmes-Weinstein monofilament sensory mapping, Phalen’s wrist flexion test, Tinel’s test, manual motor testing, time return to work
|
ECTR: 4/65 (2 partial transection, 2 transient ulnar neurapraxia) OCTR: 4/82 (1 deep motor branch of the ulnar nerve, 1 bowstringing of the digital flexor tendons, 2 wound dehiscence)
|
|
Brown 1993
|
Prospective, multicenter, randomized study
|
1993
|
US
|
ECTR: 84 OCTR: 85 169 hands in 151
|
31/53 23/62
|
57 55
|
Two-portal technique
|
3, 6, 12
|
Strength, pinch strength, satisfaction, pain
|
ECTR: 4/84 (1 partial transection, 2 nerve injury, 1 wound hematoma) OCTR: 0/85
|
|
Sennwald and Benedetti 1995
|
Prospective randomized study
|
1995
|
Switzerland
|
ECTR: 25 OCTR: 22
|
19/6 18/4
|
48.6 57
|
One-portal procedure Regional anesthesia
|
4, 8, 12
|
Pain, grip, key-pinch strength, and ability to return to work Operative time
|
ECTR: 1/25 (1 neurapraxia) OCTR: 2/22 (1 RSD, 1 hypotrophic scar)
|
|
Dumontier 1995
|
Prospective randomized study
|
1995
|
France
|
ECTR:56 OCTR:40
|
49/7 36/4
|
53.4 50.7
|
Two-portal technique
|
2, 4, 12
|
Numbness, pain, return to work, pinch and grip strength
|
ECTR: 2/56 OCTR:2/40 (2 reflex sympathetic dystrophy for both groups)
|
|
Jacobsen 1996
|
Prospective randomized study
|
1996
|
Sweden
|
ECTR: 16 OCTR: 16 29 patients
|
11/5 12/4
|
UN
|
Two-portal technique
|
2, 6, 24
|
Return to work, patient satisfaction
|
ECTR: 3/16 (3 transient numbness) OCTR: 0/16
|
|
MacDermid 2003
|
Prospective randomized study
|
2003
|
Canada
|
ECTR: 91 OCTR: 32
|
62/29 22/10
|
45 53
|
Two-portal Chow’s procedure
|
1, 6, 12
|
Symptom severity, pain, pinch, grip strength, satisfaction
|
ECTR: 0/91 OCTR: 0/32
|
|
Ferdinand 2002
|
Prospective randomized blinded study
|
2002
|
Scotland
|
ECTR: 25 OCTR: 25
|
20/5 20/5
|
54.88
|
Two-portal
|
6, 12, 26, 52
|
Return to work, day off ADL score, satisfaction, operative time
|
ECTR: 1/25 (wound pain) OCTR: 3/25 (2 persisting pain, 1 nerve injury)
|
|
Trumble 2002
|
Prospective multicenter randomized study
|
2002
|
US
|
ECTR: 97 OCTR: 95
|
48/27 47/25
|
56 56
|
One-portal
|
2, 4, 8, 12, 26, 52
|
Symptom severity score, function score, operative time, satisfaction score, median time return to work, cost
|
ECTR: 0/97 OCTR: 2/95 (2 reflex sympathetic dystrophy)
|
|
Wong 2003
|
Prospective randomized study
|
2003
|
HK
|
ECTR: 30 OCTR: 30
|
28/2 28/2
|
47 47
|
Two-portal Intravenous regional block
|
2, 4, 8, 12, 16, 24, 48
|
Wound and pillar pain, pinch and grip strength, two-point discrimination power, operative time
|
ECTR: 0/30 OCTR: 0/30
|
|
Atroshi 2006
|
Prospective randomized study
|
2006
|
Sweden
|
ECTR: 63 OCTR: 65
|
44/19 52/13
|
44 44
|
Two-portal technique
|
3, 6, 12, 48
|
Pain in scar, median postoperative work absence, severity of symptom, functional score, QOL, hand sensation, operative time
|
ECTR: 2/63 (2 recurrence of symptoms, 1 for OCTR) OCTR: 1/65
|
|
Soichi Ejiri 2012
|
Prospective randomized controlled study
|
2012
|
Japan
|
ECTR: 51 OCTR: 50
|
48/3 43/7
|
59 58
|
Okutsu’s one-portal technique Local anesthesia
|
4, 12
|
Change in subjective symptom, impairment in daily activity, APB-DL, sensation, muscle strength
|
ECTR: 3/51 (3 exacerbation of symptoms) OCTR: 0/50
|
|
Larsen 2013
|
Prospective Single-blind randomized controlled study
|
2013
|
Denmark
|
ECTR: 30 OCTR: 30
|
22/8 48/12
|
54 45
|
One-portal technique
|
1, 2, 3, 6, 12, 24
|
Pain VAS score, paresthesia, grip strength, range of motion, pillar pain, duration of sick leave
|
ECTR: 2/302 (neurapraxia) OCTR: 2/60 (2 infection)
|
|
Ho Jung Kang 2013
|
Prospective randomized controlled study
|
2013
|
South Korea
|
ECTR: 52 OCTR: 52
|
48/4 48/4
|
55 55
|
One-portal technique General anesthesia
|
12
|
BCTQ-S, BCTQ-F, DASH, intraoperative tourniquet time, pain, scar or pillar pain
|
UN
|
